The 2012 Tufts MC IMP proposed no immediate changes to the main campus and facilities of the institution nor any proposed institutional projects, only smaller internal improvement projects were planned. Tufts MC completed the smaller internal renovation and construction projects and has continued institutional operations in a manner consistent with the 2012 Tufts MC IMP which constitute a change in use, dimensional, parking, or loading elements thereof (other than de minimus dimensional changes); and does not anticipate any greater impacts from the continuation of the implementation of the 2012 Tufts MC IMP than which were originally evaluated. Tufts MC seeks to extend the 2012 TMC IMP for an additional five-year term.